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How many patients have we known over the years who have changed their minds on DNR? Health statuses do change, and so does this decision. Frequently enough, anyway, to make me NOT rely in a tattoo.
I remember a patient who wanted to be DNR, but no doctor--including his general practitioner and every specialist he asked-- would sign it. Turns out he wasn't nearly as sick as he said he was (and honestly believed, I think), he was clinically depressed and a hypochondriac and instead of signatures on a DNR he was given referrals to a mental health clinic and psychiatrists.
What if someone got such a tattoo, instead of the actual help needed?
seen it. md who went into surgery (as a patient) and arrested. ripped off covers, saw "do not resuscitate" on her chest, with a signature. team looked at each other, and did as she asked, and she died. surgeon went out to speak to spouse, apologised but said they had no choice but to follow the pt's wishes. spouse said, "oh, thank god, she was so afraid they'd do it anyway."
That'd be alright, I reckon, till he dies and his girlfriend, sues us.I once worked with male nurse who had that done---D.N.R. tattooed in inch-high, dark blue letters right over his heart.Still think the bright pink piece of paper that lives on my Frigidaire and has my PCP's signature on it is a better bet though. :)
It is a decision that must be discussed w/loved ones. However, I feel that death is a very personal thing and should be about the person experiencing it first hand more than about everyone else who feels they should have a say simply because they are family/friends. We are born alone (most of us) and we die alone (spiritually speaking) and should be allowed to follow what feels right to us.
A DNR tattoo is great, but must be backed up by documentation in order to be valid, is my understanding. My hubby says if I am viable, he will fight to keep me. If I am terminal, he would honor my DNR wishes. I can see his point of view.
In my ICU, I took care of a former ICU nurse once who had attempted suicide, written DNR on her arm with marker, and called 911 after a while. It was pretty awful on an emotional level. She was "one of us". I think she was full treatment because she was suicidal and therefore "not competent to make treatment decisions". It's one thing to joke about it, but to see it like that was hard....
madwife2002, BSN, RN
26 Articles; 4,777 Posts
People change their minds at the last min sometimes, a tattoo would be so permanent that would be my only concern,.
I have always said I do not want interventions if there is no hope for some incurable disease, but if it was an accident then I would at least want them to try.